Asbestos inspection form, 94 South Street

NYC 9/11 Public Portal Document

1001318 WTC Visual Survey Form Premise Address:,7 ~G

Block: b Residential 0 Commercial Name f Bull ing: Lot Mix UseD Other # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: * Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes No Exterior Survey Performed ❑ Yes H No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Data Requested p Yes

Visual Inspection Results: Facade: ins cted De ris North VA E1Yes ❑ No ❑No Visible/Fine Layer 4 to? 9>? South ❑ N/A Yes No ❑ No Visible/Fine Layer % to? ❑ > 1" East West ❑ N/A J!A Facade Description: HYesHNo ❑ Yes 0 No 0 N sible/Fine Layer j io Visible/Fine Layer 0%%to 1" to? ❑ > 1" ❑ > 1'

Roof

Debris: ❑ No Visible !Fine Layer % to? 0>? Description: i

Setbacks WA 0 Floor. Debris: ❑ No Visible/Fine Layer ❑'% to T ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' 9>? Floor. Debris: ❑ No Visible/FIne Layer ❑''A to V ❑ >T Floor. Debris: No Visible/Fine Layer Q% to 1" ❑ > 1" Floor. Debris: No Visible/Fine Layer U % to? 0>? Comments

I .

Date: /,112002 Inspection Team: Name: Agency: PlC 1 Name: 4L e Agency: ENTERED

NYC-WTC-000117002